高位切断撕脱术治疗原发性三叉神经痛的临床研究(附66支/46例报告)
Journal of Nanchang University(Medical Science)(2011)
Abstract
目的 探讨高位切断撕脱术治疗原发性三叉神经痛(第Ⅱ、Ⅲ支)的临床疗效.方法 46例(66支)原发性三叉神经痛患者在全身麻醉下,行口腔或健侧鼻腔插管.采用患侧口腔前庭及翼下颌韧带外侧切口,行上颌神经、下牙槽神经、颊长神经、舌神经高位切断撕脱术.结果 术后控痛率达100%,术后随访4个月~5年,治愈30例,占65%;好转11例,占24%;无效而改用其他治疗5例,占11%.总有效率达89%.结论 三叉神经高位切断撕脱术治疗原发性三叉神经痛安全、创伤小、临床治愈率高.
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Key words
transoral approach neurectomy at high position,idiopathic trigeminal neuralgia,neurosurgery
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